The pectoralis major myocutaneous flap in oral and maxillofacial reconstruction: a retrospective analysis of 50 cases

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
R A Ord

Abstract

This article retrospectively reviews 50 consecutive pectoralis major flaps used in oral and maxillofacial reconstruction with respect to reliability and complications. Fifty patients had reconstruction of postcancer resection defects of the oral cavity and maxillofacial region. The age and sex of the patients and site of defect were analyzed. The design of the pectoralis major flap and complications encountered were documented. There were three cases (6%) of flap failure and an additional three cases (6%) in which 40% or more of the skin paddle sloughed. Orocutaneous fistula was rare. The use of an osteomyocutaneous flap with a rib gave poor results for mandibular reconstruction. The pectoralis major flap is reliable, and the complications seen in this series were comparable to other large series in the literature. Despite the increased use of microvascular flaps, the pectoralis major flap remains an excellent reconstructive choice for large soft tissue defects in the oral cavity.

References

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Citations

Mar 2, 2013·Journal of Maxillofacial and Oral Surgery·M Ravi SekharK Gopalkrishna
May 10, 2002·The Journal of Craniofacial Surgery·Kensuke KiyokawaYojiro Inoue
Aug 1, 2002·The Laryngoscope·Yoav P TalmiRobert J Shiner
Nov 5, 2003·Annals of Plastic Surgery·Dean Cunha-GomesNaozer M Kavarana
Mar 26, 2013·The Journal of Craniofacial Surgery·Takaya MakiguchiHiroto Terashi
Mar 1, 2011·Head & Neck Oncology·Astrid L KruseKlaus W Grätz
Aug 21, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Faisal Al-MufarrejSamir Mardini
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Oct 20, 2009·The British Journal of Oral & Maxillofacial Surgery·C M E Avery
May 16, 2013·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M WatanabeH Baba
Mar 29, 2016·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Beomjune KimWaleed Zaid
Oct 2, 2015·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Eyituoyo Okoturo
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·Eric R Carlson
Jun 30, 2006·Oral Oncology·Margita Belusic-GobicVesna Golubovic
Sep 9, 2006·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Sherdon W CordovaAndonis G Terezides
Apr 6, 2005·Plastic and Reconstructive Surgery·Hideaki RikimaruYoshiaki Tai
Oct 8, 2013·PLoS Neglected Tropical Diseases·Carlijn G N Voorend, Erik B Post
Dec 24, 2005·Annals of Plastic Surgery·Eveline M L CortenMoshe Kon
Apr 1, 2003·The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique·Christopher Robert GeddesSteven F Morris
Dec 17, 2020·Journal of Plastic Surgery and Hand Surgery·Barkat AliJess D Schwartz
Dec 1, 2020·The Journal of Craniofacial Surgery·Xiaoming LyuJie Zhang
Sep 24, 2021·The Annals of Otology, Rhinology, and Laryngology·Patrick TassoneRobert Zitsch

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